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Session
Institute
Applied For Admission Class
Section/Part
Medium of study
HINDI
ENGLISH
Compulsory Subjects (For Part-1 only)
Choose Optional Subjects
Option A
--Select Subject--
Option B
--Select Subject--
Option C
--Select Subject--
Name of the Applicant(Mr./Ms.)
Date of Birth
Gender
Male
Female
Father's Name
Mother's Name
Mobile no.
What’s App no
Aadhar Number
Email Address
Category
General
SC
ST
OBC
MBC
PH
Other
Nationality
Account Holder Name
Account Number
Bank Name
Branch Name
IFSC Code
Address
District
State
PIN Code
(Same as Above)
Address
District
State
PIN Code
Class
Year
Total Mark’s
Obtained Marks
Percentage of Marks
School/College Name
Board/University Name
Applicant Photo
Applicant Signature (Self Sign)
Signature of the Parent/ Guardian
Fee Amount
0.00
INR
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